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Post vasectomy/inguinal hernia repair pain
Please can somebody offer my husband and myself some advice. My husband had a vasectomy 3 years ago we assumed this would be straightforward but have found it not so simple. He also underwent an inguinal hernia repair 1 year ago this was performed abdominally under local anaesthetic.
His main complaint was during sex he suffered pain on ejaculation which seemed quite severe. This however did seem to ease a little and now he has quite reduced sensation on orgasm and groin pain persistantly.
He was recently seen by a general sugeon who said all was well post-op with regard to the hernia and as for the sex he needs to see a urologist not his department! Very frustrating when you build up the confidence to confide in someone. At 39 this is extremely frustrating for him as for the last 15years we have had a very happy love life.
Should we consider a reversal or could he have nerve damage from the hernia repair and if so how do we find this out?
His main complaint was during sex he suffered pain on ejaculation which seemed quite severe. This however did seem to ease a little and now he has quite reduced sensation on orgasm and groin pain persistantly.
He was recently seen by a general sugeon who said all was well post-op with regard to the hernia and as for the sex he needs to see a urologist not his department! Very frustrating when you build up the confidence to confide in someone. At 39 this is extremely frustrating for him as for the last 15years we have had a very happy love life.
Should we consider a reversal or could he have nerve damage from the hernia repair and if so how do we find this out?
Thankyou very much for your helpful information. I realise when reading your response that I ommitted some probabally important information.
After about a year after the vasectomy my husband consulted a G.P with regard to the pain on ejaculation and was at that point given antibiotic therapy for at least 2 weeks.From memory,his urine had also been checked at that time and was clear. I have since your advice re-checked urinalysis and found it clear.
The main concern now is the loss of sensation on orgasm. we have had no concerns for 15years prior to the vasectomy and this is why we wondered if it was post vasectomy syndrome or whether some nerve damage could of been done either at vasectomy or during his inguinal hernia repair a year ago.
If it is prostatitis could his antibiotics have been unsuccessful at the time? Would I not have had any cross infection/signs of infection as he has had the vasectomy we do not practise safe sex? He is practically t total does occasionally eat spicy food but infrequent.
With this information would you still feel it is possibly prostatis? Would treating the prostatis return his sensation back to normal?
The question about reversal of the vasectomy was in a bid to return sensation to normal. Feel we are too young not to try to sort this out. Thankyou.
After about a year after the vasectomy my husband consulted a G.P with regard to the pain on ejaculation and was at that point given antibiotic therapy for at least 2 weeks.From memory,his urine had also been checked at that time and was clear. I have since your advice re-checked urinalysis and found it clear.
The main concern now is the loss of sensation on orgasm. we have had no concerns for 15years prior to the vasectomy and this is why we wondered if it was post vasectomy syndrome or whether some nerve damage could of been done either at vasectomy or during his inguinal hernia repair a year ago.
If it is prostatitis could his antibiotics have been unsuccessful at the time? Would I not have had any cross infection/signs of infection as he has had the vasectomy we do not practise safe sex? He is practically t total does occasionally eat spicy food but infrequent.
With this information would you still feel it is possibly prostatis? Would treating the prostatis return his sensation back to normal?
The question about reversal of the vasectomy was in a bid to return sensation to normal. Feel we are too young not to try to sort this out. Thankyou.
MEDICAL PROFESSIONAL
Hi,
It is possible that he has prostatitis. This is caused by an inflammation and infection of the prostate gland. The infective organisms may be located only within the prostate and/or kidney and come into the urethra during ejaculation. If they are not flushed away by urine, they would continue to be present in the urethra and try to grow there causing irritation and pain. Alteration of the prostate tissue due to long-standing infection can cause improper functioning of the sphincter and can affect the emission of semen and cause the urine flow to lose force as well.
He may need to have a urinalysis done, preferably from a sample collected just after ejaculation. A prostate fluid analysis can also be done. This is to identify the organism causing the infection and may be followed by a culture sensitivity test to determine which antibiotic the organism is sensitive to. A prostate ultrasound (done rectally) will give an idea of the state of the gland and whether it is enlarged.
Feelings of numbness following surgery can be present for several weeks and even months but it is unlikely that the problems detailed are due to surgical intervention. Reversal of the vasectomy will not really help in this situation as the surgery will only cause further trauma and scarring.
Antibiotic therapy is prescribed for long durations in prostate infections in view of the poor permeability of the prostate gland to antibiotics. The course will be for about 15-21 days and may even be for a few weeks.
Ensure that he keeps his fluid intake over 2000 ml per day and avoid irritants, such as caffeine, alcohol, and spicy foods. Also have him avoid sitting for long periods of time or on surfaces that are not well padded.
If you do indulge in intercourse during the period of treatment, ensure that you practise safe sex (condoms) so as to not be infected by your partner.
Do keep us posted on your doubts and progress.
It is possible that he has prostatitis. This is caused by an inflammation and infection of the prostate gland. The infective organisms may be located only within the prostate and/or kidney and come into the urethra during ejaculation. If they are not flushed away by urine, they would continue to be present in the urethra and try to grow there causing irritation and pain. Alteration of the prostate tissue due to long-standing infection can cause improper functioning of the sphincter and can affect the emission of semen and cause the urine flow to lose force as well.
He may need to have a urinalysis done, preferably from a sample collected just after ejaculation. A prostate fluid analysis can also be done. This is to identify the organism causing the infection and may be followed by a culture sensitivity test to determine which antibiotic the organism is sensitive to. A prostate ultrasound (done rectally) will give an idea of the state of the gland and whether it is enlarged.
Feelings of numbness following surgery can be present for several weeks and even months but it is unlikely that the problems detailed are due to surgical intervention. Reversal of the vasectomy will not really help in this situation as the surgery will only cause further trauma and scarring.
Antibiotic therapy is prescribed for long durations in prostate infections in view of the poor permeability of the prostate gland to antibiotics. The course will be for about 15-21 days and may even be for a few weeks.
Ensure that he keeps his fluid intake over 2000 ml per day and avoid irritants, such as caffeine, alcohol, and spicy foods. Also have him avoid sitting for long periods of time or on surfaces that are not well padded.
If you do indulge in intercourse during the period of treatment, ensure that you practise safe sex (condoms) so as to not be infected by your partner.
Do keep us posted on your doubts and progress.
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